Affiliations: [a] Department of Urology, Kessler Institute for Rehabilitation, West Orange, NJ, USA | [b] Department of Physical Medicine and Rehabilitation, New Jersey Medical School, Newark, NJ, USA | [c] Department of Surgery (Urology), New Jersey Medical School, Newark, NJ, USA | Department of Physical Medicine and Rehabilitation, Virginia Commonwealth University, Richmond, VA, USA
Correspondence:
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Address for correspondence: Todd A. Linsenmeyer, M.D., Department of Urology, Kessler Institute For Rehabilitation, 1199 Pleasant Valley Way, West Orange, NJ 07052, USA. Tel.: +1 973 731 3900, ext. 2274; Fax: +1 973 243 6926; E-mail: tlinsenmeyer@kessler-rehab.com
Abstract: Urinary incontinence and other voiding dysfunctions are common sequelae post CVA (cerebrovascualar accident). Urinary incontinence declines over time; however, other voiding issues appear. Voiding dysfunctions not only have a significant impact on a person's quality of life and mortality, but also impact the person's caregiver. Urodynamic studies are important to help further understand, develop and direct bladder management. However, studies evaluating urodynamic findings in those with urinary incontinence shortly after CVA (within 3 months) are limited. While uninhibited contractions are the most common urodynamic finding in post-CVA incontinence, a number of men and women have other urodynamic findings causing incontinence. The type, onset, resolution and urodynamics of post-CVA symptoms other than urinary incontinence are rarely discussed. A literature review emphasizes that further research is needed not only in the evaluation of the most effective bladder management strategies for urinary incontinence, but also in the area of post stroke voiding dysfunction as a whole.
